Provider Demographics
NPI:1114969425
Name:YADAV, NEERA (MBBS)
Entity Type:Individual
Prefix:DR
First Name:NEERA
Middle Name:
Last Name:YADAV
Suffix:
Gender:F
Credentials:MBBS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:APT.# 261
Mailing Address - Street 2:SECTOR 29
Mailing Address - City:NOIDA
Mailing Address - State:U.P.
Mailing Address - Zip Code:201301
Mailing Address - Country:IN
Mailing Address - Phone:91120-245-0185
Mailing Address - Fax:
Practice Address - Street 1:APT.# 261
Practice Address - Street 2:SECTOR 29
Practice Address - City:NOIDA
Practice Address - State:U.P.
Practice Address - Zip Code:201301
Practice Address - Country:IN
Practice Address - Phone:91120-245-0185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-12
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXM2209208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1764540-01Medicaid
TX1764540-01Medicaid